Organization
AVENUE P MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG GUTNIK MD (OWNER)
(212) 845-9255
Entity
Organization
Contact information
Practice address
214 AVENUE P, BROOKLYN, NY 11204-6573
(212) 845-9255
(347) 602-4674
Mailing address
214 AVENUE P, BROOKLYN, NY 11204-6573
(212) 845-9255
(347) 602-4674
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
163630
NY
Other
Enumeration date
02/19/2010
Last updated
07/21/2011
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